| NPI | 1972545218 |
|---|---|
| Doing Business As | SOUTH MOORE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEITH R. LAYNE Physician 405-912-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |